Joshua L. Gleiner, PA-C
Individual provider Active NPI Physician Assistant · Gorham, NH
NPI 1154510170 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1154510170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1121 (NH)
- Practice address
- 167 Main St Ste 2
Gorham, NH 03581-1637 - Phone
- (802) 233-3729
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Albany Medical College of Union University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coos County Family Health Services Inc
Practice addresses (Care Compare)
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
167 Main St
Gorham, NH 03581-1637
Phone (603) 466-3500
59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2900
Hospital & facility affiliations
- Androscoggin Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160524000498 | NH | Practitioner - Physician Assistant | 7517037872 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0030972 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ammonoosuc Community Health Services Inc | Current |
Accepting new patients |
Locations
25 Mount Eustis Rd
Littleton, NH 03561
Phone (603) 444-2464
Interoperability endpoints
- joshuagleiner@achs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1121 | NH | Yes |
| Physician Assistant | 363A00000X | 055-0030972 | VT |
Addresses
Primary practice location
167 Main St Ste 2
Gorham, NH 03581-1637
Mailing address
167 Main St Ste 2
Gorham, NH 03581-1637
Phone (603) 752-2900
Other practice location 1
25 Mount Eustis Rd
Littleton, NH 03561-3712
Phone (603) 444-2464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000353 | Medicaid | VT | |
| 3075818 | Medicaid | NH | |
| 000543003 | Other | VT | MEDICARE PTAN |
Other providers in Gorham, NH
- Amy Lynn Galipeau
- Kimberly Gallant
- William Jay Gessner
- Jameson Giamo
- Edwin Giron
- Nancy Gordon
- Gorham Family Dentistry, P.a.
- Gorham Randolph Shelburne Cooperative
- Eric A Hamilton
- Samuel Glenn Hanna
All providers in Gorham, NH · Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.